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Colon and rectum surgery

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https://www.readbyqxmd.com/read/28059915/bio-thiersch-as-an-adjunct-to-perineal-proctectomy-reduces-rates-of-recurrent-rectal-prolapse
#1
Saleh M Eftaiha, Jed F Calata, Jeremy J Sugrue, Slawomir J Marecik, Leela M Prasad, Anders Mellgren, Johan Nordenstam, John J Park
BACKGROUND: The rates of recurrent prolapse after perineal proctectomy vary widely in the literature, with incidences ranging between 0% and 50%. The Thiersch procedure, first described in 1891 for the treatment of rectal prolapse, involves encircling the anus with a foreign material with the goal of confining the prolapsing rectum above the anus. The Bio-Thiersch procedure uses biological mesh for anal encirclement and can be used as an adjunct to perineal proctectomy for rectal prolapse to reduce recurrence...
February 2017: Diseases of the Colon and Rectum
https://www.readbyqxmd.com/read/27987098/a-surgical-department-for-intensified-care
#2
Pierluigi di Sebastiano, Tommaso Grottola, Anna Maysse, Maria Marino, Francesco Zavattaro, Pas Quale Flacco, F Francesco di Mola
PURPOSE: The growing pressure to rationalize costs in the healthcare system demands the development of new healthcare models aimed at allowing patients to receive the best treatment, without ignoring the rising costs. METHODS: In the Healthcare Unit 2 located in the Abruzzo region in Italy, a new model of intensified care surgical department was designed in January 2013. The department was based on the selection of the degree of patient disease. Patients requiring a medium-low degree surgery were treated in the peripheral unit, in the Ortona hospital, while more complex surgical procedures, most cancer cases (including stomach, liver, pancreas, colon-rectum or multi-organ resections), were performed in the central unit in the Chieti hospital...
December 16, 2016: Langenbeck's Archives of Surgery
https://www.readbyqxmd.com/read/27938575/-prognostic-factors-of-postoperative-incisional-surgical-site-infections-for-colorectal-cancer
#3
H Zheng, P Chi, H M Lin, X R Lu, Y Huang, W Z Jiang, Z B Xu, S H Huang, Y W Sun, D X Ye, C Y Jiang, X J Wang
Objective: To explore the prognostic factors of postoperative incisional surgical site infections (I-SSI) for colorectal cancer. Methods: Clinical data of 2 385 colorectal cancer patients undergoing resection by the same surgical team in Department of Colon and Rectum Surgery, Fujian Medical University Union Hospital from January 2000 to February 2014 was analyzed retrospectively. There were 1 421 male and 964 female patients, with a mean age of (59±13) years. Univariate analysis and multivariate Logistic regression analysis were performed for independent prognostic factors of I-SSI...
1, 2016: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://www.readbyqxmd.com/read/27934790/abdomino-endoscopic-perineal-excision-of-the-rectum-for-benign-and-malignant-pathology-technique-considerations-for-true-transperineal-verus-transanal-total-mesorectal-excision-endoscopic-proctectomy
#4
Hazar Al Furajii, Niall Kennedy, Ronan A Cahill
PURPOSE: Transanal minimally invasive surgery using single port instrumentation is now well described for the performance of total mesorectal excision with restorative colorectal/anal anastomosis most-often in conjunction with transabdominal multiport assistance. While non-restorative abdomino-endoscopic perineal excision of the anorectum is conceptually similar, it has been less detailed in the literature. METHODS: Consecutive patients undergoing non-restorative ano-proctectomy including a transperineal endoscopic component were analysed...
January 2017: Journal of Minimal Access Surgery
https://www.readbyqxmd.com/read/27856106/surgical-management-of-colorectal-cancer-for-the-aging-population-a-survey-by-the-japanese-society-for-cancer-of-colon-and-rectum
#5
Hiroshi Matsuoka, Kotaro Maeda, Tsunekazu Hanai, Harunobu Sato, Koji Masumori, Yosikazu Koide, Hidetoshi Katsuno, Tomoyoshi Endo, Miho Shiota, Kenichi Sugihara
OBJECTIVE: The treatment policy of colorectal cancer in elderly patients is controversial due to a lack of specific guidelines. To clarify the present management of colorectal cancer for aged patients, a questionnaire survey was conducted by the Japanese Society for Cancer of the Colon and Rectum. METHODS: Questionnaire forms were sent to the 430 member institutions of the Japanese Society for Cancer of the Colon and Rectum. RESULTS: The response rate of the surgical department to the questionnaire was 39%...
November 14, 2016: Asian Journal of Surgery
https://www.readbyqxmd.com/read/27837459/endoscopic-mucosal-resection-in-elderly-patients
#6
Stefano Pontone, Rossella Palma, Cristina Panetta, Daniele Pironi, Chiara Eberspacher, Rita Angelini, Paolo Pontone, Antonio Catania, Angelo Filippini, Salvatore Sorrenti
BACKGROUND: Endoscopic mucosal resection (EMR) of early superficial colorectal carcinomas is nowadays accepted as the gold standard treatment for this type of neoplasia. AIM: This study aims to evaluate the efficacy and safety of mucosectomy in elderly patients considering the predictive value of submucosal infiltration. METHODS: A retrospective study of all patients referred for EMR of sessile colorectal polyps classified IIa by the Paris classification between April 2013 and April 2015...
November 11, 2016: Aging Clinical and Experimental Research
https://www.readbyqxmd.com/read/27813487/-quality-of-life-after-colectomy-due-to-ulcerative-colitis
#7
Katrin Gudlaugsdottir, Elsa B Valsdottir, Tryggvi B Stefansson
INTRODUCTION: A significant proportion of patients with ulcerative colitis (UC) undergo colectomy. The aim was to assess the quality of life (QOL) of these patients. MATERIAL AND METHODS: All patients with UC who underwent colectomy at The National University Hospital of Iceland or Akureyri Hospital 1995-2009 were included. 106 patients received three questionnaires. SF-36v2 and EORTC are standardised QOL-questionnaires. The third contained functional questions designed by the researchers...
November 2016: Læknablađiđ
https://www.readbyqxmd.com/read/27796497/postoperative-recurrence-and-risk-factors-of-colorectal-cancer-perforation
#8
Hiroshi Asano, Kazuto Kojima, Naomi Ogino, Hiroyuki Fukano, Yasuhiro Ohara, Nozomi Shinozuka
PURPOSE: The common causes of colorectal perforation are benign. However, perforated colorectal cancer confers a risk of recurrence in the long term because of the malignant nature of the disease. In addition, the recurrence rate can also increase because of dissemination of cancer cells, reduced extent of lymph node dissection to prioritize saving life, and other reasons. METHODS: We evaluated the clinical features and postoperative recurrence in patients with perforated colorectal cancer who developed general peritonitis and underwent emergency surgery during a 7-year period between April 2007 and March 2014...
October 30, 2016: International Journal of Colorectal Disease
https://www.readbyqxmd.com/read/27749477/outcomes-in-colorectal-surgeon-driven-management-of-obstructing-colorectal-cancers
#9
Shunji Morita, Kimimasa Ikeda, Takamichi Komori, Tsukasa Tanida, Hisanori Hatano, Yoshito Tomimaru, Hiroshi Imamura, Keizo Dono
BACKGROUND: Emergency surgery for obstructing colorectal cancer is associated with high mortality and morbidity rates. OBJECTIVE: The purpose of this study was to assess outcomes of emergency surgery for obstructing colorectal cancer in a single hospital, where care was primarily provided by colorectal surgeons. DESIGN: This was a retrospective cohort study. SETTINGS: The study was conducted at the Toyonaka Municipal Hospital...
November 2016: Diseases of the Colon and Rectum
https://www.readbyqxmd.com/read/27730779/abdominal-tuberculosis
#10
Pravin Rathi, Pravir Gambhire
Abdomen is involved in 11% of patients with extra-pulmonary tuberculosis; The most common site of involvement is the ileocaecal region, other locations of involvement, in order of descending frequency, are the ascending colon, jejunum, appendix, duodenum, stomach, oesophagus, sigmoid colon, and rectum. Apart from the basic work up, Investigations like CT scan, EUS, Capsule endoscopy, Balloon enteroscopy, Ascitic fluid ADA, TB-PCR, GeneXpert, Laproscopy are being increasingly used to diagnose tuberculosis.Therapy with standard antituberculous drugs is usually highly effective for intestinal TB...
February 2016: Journal of the Association of Physicians of India
https://www.readbyqxmd.com/read/27721736/transmural-colonic-infarction-after-routine-colonoscopy-in-a-young-patient-without-risk-factors
#11
Maurizio Zizzo, Carolina Castro Ruiz, Lara Ugoletti, Alessandro Giunta, Stefano Bonacini, Lorenzo Manzini, Fabrizio Aguzzoli, Alberto Colognesi, Claudio Pedrazzoli
Colonoscopy is one of the most widely used procedures in medical practice for the diagnosis and treatment of many benign and malignant diseases of the colorectal tract. Colonscopy has become the reference procedure for screening and surveillance of colorectal cancer. The overall rate of adverse events is estimated to be about 2.8 per 1,000 procedures, while complications requiring hospitalization are about 1.9 per 1,000 colonoscopies. Mortality from all causes and colonoscopy-specific mortality are estimated to be 0...
May 2016: Case Reports in Gastroenterology
https://www.readbyqxmd.com/read/27640938/bowel-injury-in-robotic-gynecologic-surgery-risk%C3%A2-factors-and-management-options-a%C3%A2-systematic-review
#12
REVIEW
Toni Picerno, Nancy L Sloan, Pedro Escobar, Pedro T Ramirez
OBJECTIVE: We sought to analyze the published literature on bowel injuries in patients undergoing gynecologic robotic surgery with the aim to determine its incidence, predisposing factors, and treatment options. DATA SOURCES: Studies included in this analysis were identified by searching PubMed Central, OVID Medline, EMBASE, Cochrane, and ClinicalTrials.gov databases. References for all studies were also reviewed. Time frame for data analysis spanned from November 2001 through December 2014...
January 2017: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27633439/outcome-comorbidity-hospitalization-and-30-day-mortality-after-closure-of-acute-perforations-and-postoperative-anastomotic-leaks-by-the-over-the-scope-clip-otsc-in-an-unselected-cohort-of-patients
#13
M Raithel, H Albrecht, W Scheppach, M Farnbacher, W Haupt, A F Hagel, V Schellerer, F Vitali, M F Neurath, H T Schneider
BACKGROUND: Acute gastrointestinal (GI) wall defects contain a high risk of morbidity and mortality and may be closed endoscopically by a full-thickness over-the-scope clip (OTSC). METHODS: Unselected consecutive patients presenting with acute non-surgical perforations or postoperative anastomotic leaks or perforations underwent attempted OTSC placement as primary closure method after interdisciplinary consensus in three tertiary referral centres. Their clinical data and intervention characteristics were evaluated in an intention to treat analysis during a 24-month period to assess closure rates, 30-day mortality, hospitalization and comorbidity...
September 15, 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/27602925/no-difference-in-overall-survival-between-hospital-volumes-for-patients-with-colorectal-cancer-in-the-netherlands
#14
Amanda C R K Bos, Felice N van Erning, Marloes A G Elferink, Harm J Rutten, Martijn G H van Oijen, Johannes H W de Wilt, Valery E P P Lemmens
BACKGROUND: High-volume hospitals have been associated with improved patient outcomes for tumors with a relatively low incidence that require complex surgeries, such as esophageal and pancreatic cancer. The volume-outcome association for colorectal cancer is under debate. OBJECTIVE: This study investigated whether hospital volume for colorectal cancer is associated with surgical care characteristics and 5-year overall survival. DESIGN: This is a population-based study...
October 2016: Diseases of the Colon and Rectum
https://www.readbyqxmd.com/read/27601510/public-reporting-of-hospital-level-cancer-surgical-volumes-in-california-an-opportunity-to-inform-decision-making-and-improve-quality
#15
Christina A Clarke, Steven M Asch, Laurence Baker, Karl Bilimoria, R Adams Dudley, Niya Fong, Merry L Holliday-Hanson, David S P Hopkins, Elizabeth M Imholz, Jennifer Malin, Lisa Moy, Maryann O'Sullivan, Joseph P Parker, Christopher S Saigal, Bruce Spurlock, Stephanie Teleki, David Zingmond, Lance Lang
PURPOSE: Most patients, providers, and payers make decisions about cancer hospitals without any objective data regarding quality or outcomes. We developed two online resources allowing users to search and compare timely data regarding hospital cancer surgery volumes. METHODS: Hospital cancer surgery volumes for all California hospitals were calculated using ICD-9 coded hospital discharge summary data. Cancer surgeries included (bladder, brain, breast, colon, esophagus, liver, lung, pancreas, prostate, rectum, and stomach) were selected on the basis of a rigorous literature review to confirm sufficient evidence of a positive association between volume and mortality...
September 6, 2016: Journal of Oncology Practice
https://www.readbyqxmd.com/read/27553627/high-prevalence-of-advanced-colorectal-neoplasia-in-the-thai-population-a-prospective-screening-colonoscopy-of-1-404-cases
#16
Bunchorn Siripongpreeda, Chulabhorn Mahidol, Navara Dusitanond, Tassanee Sriprayoon, Bunlung Muyphuag, Thaniya Sricharunrat, Narongchai Teerayatanakul, Watanya Chaiwong, Wipra Worasawate, Prassanee Sattayarungsee, Juthamas Sangthongdee, Jirapa Prarom, Gaidganok Sornsamdang, Kamonwan Soonklang, Kasiruck Wittayasak, Chirayu U Auewarakul
BACKGROUND: Increasing morbidity and mortality from colorectal cancer is evident in recent years in the developing Asian nations. Particularly in Thailand and most neighbouring low-income countries, screening colonoscopy is not yet recommended nor implemented at the national policy level. METHODS: Screening colonoscopy was offered to 1,500 healthy volunteers aged 50-65 years old who were registered into the program between July 2009 and June 2010. Biopsy and surgery was performed depending on the identified lesions...
August 23, 2016: BMC Gastroenterology
https://www.readbyqxmd.com/read/27540580/endoscopic-submucosal-dissection-for-flat-or-sessile-colorectal-neoplasia-%C3%A2-20%C3%A2-mm-a-european-single-center-series-of-182-cases
#17
Malte Sauer, Ralf Hildenbrand, Tsuneo Oyama, Bernd Sido, Naohisa Yahagi, Franz Ludwig Dumoulin
BACKGROUND AND STUDY AIMS: Colorectal endoscopic submucosal dissection (ESD) is an attractive method for en bloc resection of larger flat neoplastic lesions. Experience with this method is limited in the Western World. PATIENTS AND METHODS: A total of 182 consecutive flat or sessile colorectal lesions (cecum n = 43; right-sided colon n = 65; left-sided colon n = 11, rectum: n = 63) with a size > 20 mm (mean 41.0 ± 17.4 mm) were resected in 178 patients...
August 2016: Endoscopy International Open
https://www.readbyqxmd.com/read/27491782/safety-and-efficacy-of-a-novel-linear-staple-device-with-bioabsorbable-polyglicolic-acid-felt-in-laparoscopic-colorectal-surgery
#18
Masanori Naito, Takahiro Yamanashi, Takatoshi Nakamura, Hirohisa Miura, Atsuko Tsutsui, Takeo Sato, Masahiko Watanabe
INTRODUCTION: Laparoscopic surgery is widely used for the treatment of colorectal cancer, but it is often associated with postoperative anastomotic complications. Generally, gastrointestinal anastomosis for colorectal surgery is performed using mechanical anastomosis with a double stapling technique. Using the automatic suture device with bioabsorbable polyglycolic acid (PGA) felt is expected to adequately reinforce staple lines on fragile tissue, helping to prevent anastomotic complications, including leakage...
February 2017: Asian Journal of Endoscopic Surgery
https://www.readbyqxmd.com/read/27477802/hamartomatous-polyps-a-clinical-and-molecular-genetic-study
#19
Anne Marie Jelsig
Hamartomatous polyps (HPs) in the gastrointestinal (GI) tract are rare compared to other types of GI polyps, yet they are the most common type of polyp in children. The symptoms are usually rectal bleeding, abdominal pain, obstipation, anaemia, and/or small bowel obstruction. The polyps are typically removed concurrently with endoscopy when located in the colon, rectum, or stomach, whereas polyps in the small bowel are removed during push-enteroscopy, device-assisted enteroscopy, or by surgery. HPs can be classified as juvenile polyps or Peutz-Jeghers polyps based on their histopathological appearance...
August 2016: Danish Medical Journal
https://www.readbyqxmd.com/read/27460384/epithelioid-inflammatory-myofibroblastic-sarcoma-a-clinicopathological-immunohistochemical-and-molecular-cytogenetic-analysis-of-five-additional-cases-and-review-of-the-literature
#20
Lin Yu, Jinguo Liu, I Weng Lao, Zhiguo Luo, Jian Wang
BACKGROUND: To explore the clinical characteristics and pathological features of epithelioid inflammatory myofibroblastic sarcoma (EIMS) with emphasis on the diagnostic spectrum. METHODS: The clinical data and histological features in 5 additional cases of EIMS were retrospectively reviewed. Immunohistochemical study and interphase fluorescence in situ hybridization (FISH) analysis were carried out. RESULTS: There were 2 males and 3 females with age at presentation ranging from 15 to 58 years (mean, 37 years)...
July 27, 2016: Diagnostic Pathology
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